Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Concept Analysis of Reality Shock in New Graduate Nurses

신규간호사의 현실충격 개념분석

  • 최명희 (강릉시 정신건강증진센터) ;
  • 이하나 (한중대학교 간호학과)
  • Received : 2016.10.04
  • Accepted : 2016.11.10
  • Published : 2016.11.30
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Abstract

This paper aims to understand the conceptual definition and the characteristics of reality shock in new graduate nurses. We analyzed the data using the hybrid model, initially introduced by Schwartz-Barcott and Kim. The data used in this study were collected from six recently graduated nurses who work in S-si and G-si. Another part of the data was obtained from literature review regarding Reality Shock. We categorized Reality Shocks in recently graduated nurses into nine attributes within a three-dimension model. The dimensions include "cognitive", "emotional", and "situational" domains. The cognitive domain is to be aware of the factor that causes Reality Shock. The emotional domain is the negative emotional responses that appear when facing a situation causing Reality Shock. The situational domain is the sort of circumstantial situations that cause Reality Shock. Reality Shock is defined as recently graduated nurses having several negative emotions, such as powerlessness, difficulty in peer relationships, confusion, and pressure due to (i) the differences between reality of nursing and what they have learned in school, (ii) the differences between an ideal situation and the real situation, (iii) the lack of expertise of senior nurses, (iv) a situation without the respect from colleagues, and (v) the overloaded role compare with the expectations. In conclusion, we provide a guideline for establishing a strategy to reduce Reality Shock in recently graduated nurses by identifying the concept of Reality Shock.

본 연구는 신규간호사의 현실충격의 개념을 정립하고 정의하기 위해 시행되었다. 연구 분석 방법은 Schwartz-Barcott와 Kim의 혼종모형(Hybrid model)을 이용하였으며, 자료 수집은 S시와 G시에서 일하고 있는 6명의 신규간호사와 현실충격과 관련된 문헌으로부터 수집하였다. 본 연구 결과, 신규간호사의 현실충격은 3개의 영역과 9개의 속성으로 도출되었다. 3개의 영역은 인지적 영역, 정서적 영역, 상황적 영역으로 도출되었다. 인지적 영역은 현실충격을 일으키는 요인을 인지하는 것이며, 정서적 영역은 현실충격을 일으키는 상황을 직면한 후 나타나는 부정적인 정서 반응이며, 상황적 영역은 현실충격을 일으키는 상황을 말한다. 즉, 신규간호사의 현실충격 정의는 신규간호사는 (i) 학교에서 배운 것과 실무와의 차이, (ii) 이상과 현실의 가치 차이를 인지하고 (iii) 선임 간호사들의 전문성 부족, (iv) 간호사로서 존중받지 못하는 현실, (v) 생각했던 것보다 역할가중을 경험하게 되면서 무력감, 관계의 어려움, 혼란, 압박감과 같은 부정적인 정서를 갖게 되는 것을 말한다. 결과적으로 본 연구는 신규간호사의 현실충격의 개념을 정립함으로 인해 신규간호사의 현실충격을 경감할 수 있는 전략에 실제적인 밑거름이 될 수 있는 자료를 제공했다는데 의의가 있다.

Keywords

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